Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.26 / $2,292.00 / $9,516.00	Facility		$141.26	$2,292.00	$9,516.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $141.26 / $239.21	Professional		$105.68	$141.26	$239.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $2,114.00 / $8,800.00	Facility		$918.00	$2,114.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.10 / $135.38 / $226.60	Professional		$102.10	$135.38	$226.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.26 / $123.91 / $153.37	Facility		$103.26	$123.91	$153.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $146.65 / $173.32	Professional		$124.13	$146.65	$173.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.93 / $187.58 / $581.00	Facility		$127.93	$187.58	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $167.22 / $285.89	Professional		$113.59	$167.22	$285.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $127.93 / $366.00 / $581.00	Facility		$127.93	$366.00	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $170.38 / $284.58	Professional		$118.75	$170.38	$284.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $128.85 / $188.01	Professional		$91.28	$128.85	$188.01
United Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $2,499.00 / $5,235.00	Facility		$675.00	$2,499.00	$5,235.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $167.53 / $292.77	Professional		$125.54	$167.53	$292.77